Some tips
The patient ought to have an empty bladder, as this can make the examination less uncomfortable.
Having them in a supine position is the best way to aid insertion of a speculum
Lubricate the speculum and warn the patient
Part the labia using your left hand
Gently insert the speculum with your right hand:
Fully insert the speculum with the screw facing sideways and the blades vertical
Rotate 90 degrees during insertion so the screw faces upwards and the blades become horizontal
Slowly open the blades and use light to inspect the cervix
Tighten the screw to hold open the speculum so you can use your right hand for swabs or Pipelle biopsy if necessary.
To remove the speculum, undo the screw to allow the blades to close (leave open slightly to not pinch the vaginal walls), rotating back 90 degrees and gently remove.
Never fully close a speculum before withdrawing it as it will pinch , and you definitely dont want that to occur .